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Predictive factors for complications in children with laryngeal damage at extubation

C Watier-Launey1, A Buronfosse, E Saliba

  • 1Service d'ORL Pédiatrique, C.H.U. de Tours, Hôpital Clocheville, France.

The Laryngoscope
|February 19, 2000
PubMed

Insights

Identifying risk factors for complications in intubated children with airway lesions at extubation is crucial. Young age and noninfectious respiratory diseases increase complication risk, while specific lesions predict reintubation or surgical needs.

Area of Science:

  • Pediatric critical care medicine
  • Otolaryngology
  • Respiratory medicine

Background:

  • Airway complications following endotracheal intubation in children can lead to significant morbidity.
  • Identifying children at high risk for these complications is essential for timely intervention.

Purpose of the Study:

  • To identify factors associated with early complications in intubated children presenting with macroscopic airway lesions at extubation.
  • To establish an "at risk" profile for pediatric patients requiring intubation.

Main Methods:

  • Retrospective review of 96 pediatric patients (1 day to 15 years) who underwent intubation.
  • Patients categorized into medical, reintubation, or surgical treatment groups based on post-extubation management.
  • Analysis of age, sex, clinical history, and macroscopic lesion features.

Main Results:

  • Young age and underlying noninfectious respiratory diseases were significant risk factors for complications.
  • Edema, particularly in the glottic area, predicted the need for surgical intervention.
  • Multiple lesions were associated with a higher likelihood of reintubation.

Conclusions:

  • Clinical history, intubation indications, and extubation findings are key to defining an "at risk" profile.
  • This profile can guide proactive management to prevent adverse outcomes in intubated children.
Abstract

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